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金伯氏病表现为巨大悬雍垂状肿瘤,并伴有膜增殖性肾小球肾炎。

Kimura's disease presenting with a giant suspensory tumor and associated with membranoproliferative glomerulonephritis.

机构信息

Department of Dermatology, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, Fukuoka 807-8555, Japan.

出版信息

Eur J Dermatol. 2009 Nov-Dec;19(6):626-8. doi: 10.1684/ejd.2009.0776. Epub 2009 Jul 20.

Abstract

Kimura's disease is a rare chronic inflammatory disease, which typically occurs in middle-aged Asian men. This benign lymphoproliferative disorder with tissue eosinophilia is clinically characterized by painless subcutaneous swelling or induration, affecting the head and neck region. Here we present a 42-year-old Japanese woman with a giant tumor on the right inguinal region. The tumor was diagnosed as Kimura's disease, because of massive infiltration of lymphoid follicle-forming lymphocytes and eosinophils with elevated serum immunoglobulin E and blood eosinophilia. She also had nephrotic syndrome histopathologically diagnosed as membranoproliferative glomerulonephritis (MPGN). Renal involvement is known as one of the associated conditions with Kimura's disease. The skin and renal diseases were successfully treated with corticosteroids and surgical removal of the mass.

摘要

木村病是一种罕见的慢性炎症性疾病,通常发生在中年亚裔男性中。这种良性淋巴组织增生伴有组织嗜酸性粒细胞增多的疾病,临床上表现为无痛性皮下肿胀或硬结,影响头颈部。我们在此报告一例 42 岁日本女性,右侧腹股沟区有巨大肿瘤。由于大量淋巴滤泡形成淋巴细胞和嗜酸性粒细胞浸润,血清免疫球蛋白 E 和血嗜酸性粒细胞增多,肿瘤被诊断为木村病。她还患有肾病综合征,组织病理学诊断为膜增生性肾小球肾炎(MPGN)。肾受累是木村病的相关疾病之一。皮肤和肾脏疾病经皮质类固醇和肿块切除手术成功治疗。

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